The Y-shaped hypogastric--groin flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Hand Surgery

Background:

• Total degloving injuries of the hand and distal forearm present significant reconstructive challenges.
• Achieving adequate skin coverage for both dorsal and volar surfaces while maintaining function is critical for patient outcomes.

Observation:

• A Y-shaped hypogastric groin flap technique was developed for total degloving injuries.
• The proximal part of the Y-flap is tubed, with distal portions covering the dorsal and volar aspects of the hand and forearm.

Findings:

• This technique provides complete skin coverage for both surfaces of the hand and distal forearm.
• The flap's long pedicle allows for a full range of motion in the hand and wrist.

Implications:

• This reconstructive method can improve functional recovery and reduce rehabilitation time for patients with severe degloving injuries.
• The Y-shaped hypogastric groin flap represents a valuable addition to the reconstructive surgeon's armamentarium for complex hand and forearm trauma.